Genitourinary Syndrome of Menopause (GSM): What is It?

Genitourinary Syndrome of Menopause (GSM) is a common but often under-discussed condition that affects many women during and after menopause. Previously known as vulvovaginal atrophy or atrophic vaginitis, GSM refers to a group of symptoms caused by reduced estrogen levels that affect the vagina, urethra, bladder, and surrounding tissues.

What are the 34 symptoms of menopause?

What Is Genitourinary Syndrome of Menopause?

GSM is the modern medical term used to describe a collection of menopausal symptoms that involve both the vaginal and urinary systems. These changes result from declining estrogen levels and can significantly impact quality of life, sexual health, and comfort.

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Symptoms of GSM

The symptoms can vary but often include:

• Vaginal dryness, burning, or itching

• Pain during sex (dyspareunia)

• Labia minora changes (thinning, shrinking, or loss of elasticity)

• Frequent urinary tract infections (UTIs)

• Urinary urgency or incontinence

• Burning with urination

These symptoms may worsen over time without treatment, especially in postmenopausal women.

GSM and Atrophic Vaginitis

GSM was introduced as a more inclusive and accurate term than atrophic vaginitis, which focused only on vaginal symptoms. GSM recognizes the involvement of the bladder and urethra, making it more reflective of what many women actually experience.

Genitourinary Syndrome of Menopause ICD-10 Code

The ICD-10 code is N95.2 – Postmenopausal atrophic vaginitis. This is used in medical records and billing to classify the condition.

Track Your GSM Symptoms

Using the Belle App can help you monitor changes in vaginal dryness, urinary issues, and other symptoms. It allow you to log symptoms from a list or even create your own, track trends, and share insights with your doctor for more personalized care.

Treatment of Genitourinary Syndrome of Menopause

There are several effective treatments, ranging from lifestyle changes to medical therapies:

1. Non-Hormonal Treatments

• Vaginal moisturizers and lubricants

• Regular sexual activity (or vaginal stimulation) to promote blood flow

• Pelvic floor physical therapy

2. Hormonal Treatments

• Vaginal estrogen creams, rings, or tablets (low-dose, local application)

• Systemic hormone therapy (for those with broader menopausal symptoms)

3. Newer Therapies

• Vaginal DHEA (a hormone precursor)

• Laser therapy for vaginal atrophy (non-hormonal option showing promise)

Always consult with a healthcare provider to choose the best treatment for your needs, especially if you have a history of breast cancer or other hormone-sensitive conditions.

Final Thoughts on Genitourinary Syndrome of Menopause

Genitourinary Syndrome of Menopause is common, treatable, and nothing to be ashamed of. Understanding the causes and symptoms can help you recognize GSM early and seek treatment that can greatly improve your comfort and quality of life. Whether you’re dealing with vulvovaginal atrophy, urinary changes, or discomfort during intimacy, effective solutions are available.

FAQs About Genitourinary Syndrome of Menopause

What is genitourinary syndrome of menopause?

It’s a group of symptoms caused by low estrogen after menopause, affecting the vagina, bladder, and urinary tract.

What is the ICD-10 code for genitourinary syndrome of menopause?

The ICD-10 code is N95.2, which refers to postmenopausal atrophic vaginitis.

What is the treatment for genitourinary syndrome of menopause?

Treatments include vaginal moisturizers, estrogen therapy, DHEA, and sometimes laser therapy.